Waiver of Release of Liability Aerobics

							                                        RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND
                                                 INDEMNITY AGREEMENT (“AGREEMENT”)

In consideration of participating in the activities that Langley Gymnastics Training Center LLC. conducts within the building and beyond the
grounds of the gym, which includes gymnastics, cheerleading, dance, tumble, aerobics, and any other activity that involves motion. I represent
that I understand the nature of this Activity and that I am qualified, in good health, and in proper physical condition to participate in such
Activity. I acknowledge that if I believe event conditions are unsafe, I will immediately discontinue participation in the activity. I fully
understand that this Activity involves risks of serious bodily injury, including permanent disability, paralysis and death, which may be caused
by my own actions, or inactions, those of others participating in the event, the conditions in which the event takes place, or the negligence of
the “RELEASEES” named below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully
accept and assume all such risks and all responsibility for losses, cost, and damages I incur as a result of my participation in the Activity.

I hereby release, discharge, and covenant not to sue Langley Gymnastics Training Center LLC, its respective administrators, directors, agents,
officers, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which
the Activity takes place, (each considered one of the “RELEASEES” herein) from all liability, claims, demands, losses, or damages, on my
account caused or alleged to be caused in whole or in part by the negligence of the “releasees” or otherwise, including negligent rescue
operations and future agree that if, despite this release, waiver of liability, and assumption of risk I, or anyone on my behalf, makes a claim
against any of the Releasees, I will indemnify, save, and hold harmless each of the Releasees from any loss, liability, damage, or cost, which
any may incur as the result of such claim.

Photo Usage: I permit Langley Gymnastics Training Center LLC to use images of my child in internal and external promotion material. This
includes any printed material, broadcast and print advertising, promotional videos and the Langley Gymnastics Training Center LLC website
which are produced or published by Langley Gymnastics Training Center LLC. I also permit Langley Gymnastics Training Center LLC. to use
images of my child in broadcast and print media news coverage of Langley Gymnastics Training Center LLC.

I have read the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY
AGREEMENT, understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or
assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree
that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect.


_____________________________________________                        Date:_____________________________
Printed name of participant (Child #1)

_____________________________________________
Printed name of participant (Child # 2)

_____________________________________________                       ___________________________________
Printed name of participant (Parent/Guardian)                        Signature of participant (Parent/Guardian)

     Address ________________________________________

                ________________________________________

     Contact Number ________________________________

     Email:           ____________________________________

PARENTAL CONSENT
AND I, the minor’s parent and/or legal guardian, understand the nature of the above referenced activities and the Minor’s experience and
capabilities and believe the minor to be qualified to participate in such activity. I hereby Release, discharge, covenant not to sue and AGREE
TO INDEMNIFY AND SAVE AND HOLD HARMLESS each of the Releasees from all liability, claims, demands, losses or damages on the
minor’s account caused or alleged to have been caused in whole or in part by the negligence of the Releasees or otherwise, including negligent
rescue operations, and further agree that if, despite this release, I, the minor, or anyone on the minor’s behalf makes a claim against any of the
above Releasees, I WILL INDEMNIFY, SAVE AND HOLD HARMLESS each of the Releases from any litigation expenses, attorney fees,
loss liability, damage, or cost any Releasee may incur as the result of any such claim.

___________________________________________                   Date: _____________________________
Printed name of Parent/or Legal Guardian

___________________________________________
Signature of Parent/or Legal Guardian